Jump to content

Concurrent Miscarriage

  • Please log in to reply
3 replies to this topic

#1 Meet2013

Posted 18 February 2013 - 06:44 PM

Hi All,

Required your valuable suggestion for the concurrent miscarriage of my wife, i am sharing the case details with reports
She is under observation of a experienced doctor but still i want to check if any test or any diagnosis  is missed.

1st Miscarriage:-

May 2008
Report of TVS given below,
1. Uterus is bulky in size.
2. Endometrial cavity shows a gestation sac.
3. GSD measures 1.82 cm - 6 weeks 1 day.(LMP gestation age is 9 weeks)
4. No fatal pole is seen.
5. Cervical Canal is normal.
6. Both Ovaries are normal in size and shape. Parenchyma of both ovaries are within normal limits.

No cardiac pulsation noted.

Features are favor of Anembryonic Pregnancy

Dr suggested to surgical evacuation of missed abortion. After the evacuation another USG has been done and results are
given below,

1.Urinary Bladder:- Urinary bladder is well distended with normal wall thickness.No intramural lesion is noted.
2.Uterus:- Uterus is normal in size,shape and outline.It is anteverted. Myometrium echogenicity is normal. No obvious
focal lesions are noted in the myometrium.
3. Endometrial stripe is normal and measures approx 4mm.
4. Uterus measures 8.5 X 4.9 X 3.2 cm
5. Ovaries :- Both ovaries are normal in size and echogenicity. No focal lesion is noted in the ovaries.
Right ovary measures 2.7 X 1.7cms. and left ovary measures 2.9 X 2.0cms.
6. No free fluid is seen in cul-de-sac.

IMPRESSION:- Normal USG of lower abdomen.

Dr suggested to avoid trying for next 2-3month and advised to perform TORCHS IgG + IgM Infection test.

In TORCHS Test Rubella IgG value observed 0.48 IU/mL so Dr has suggested to take RVAC vaccination after next period and
advised to avoid pregnancy for next 3 period /2.5 months.

After completing three month we have tried for pregnancy and at that time she was having Folinex D(daily one) from
Day one of period.

2nd Miscarriage:-
February 2013
In January she missed period and preg test card was positive, So had a discussion with Dr and he asked to take Folinex D and
Microgest 200mg. Advised to perform USG after one month (LMP 12/12/12)

USG Report as on 31.01.2013:-
1. A small intra-uterine gestational sac noted with faintly delineated embryonic pole. No demonstrable evidence of cardiac
pulsation noted.
2. Trophoblastic reaction is uniform,global with regular outline.
3. No peri-gestational fluid noted.
4. Cervix looks healthy and endo-cervical canal appears collapsed.
It measures 34mm X 26mm internal OS is closed and normal.
5. Amniotic Fluid appear less.
6. A postero-right fundic sub serous fibroid (35mm X 26mm X 35mm) noted.
7. Adnexa : No obvious mass lesion could be detected.
8. Ovaries are appear normal.
9. Pouch of Douglas is clear.

Gestation : (POA : 7 weeks 1 day, LMP 12/12/2012)
Biometry : Corresponds to an average gestational maturity of 5 weeks and 1 days
GSD =  16mm : 5 wks 1 day

Yolk sacs faintly delineated.
1. Intra-uterine small gestation of average gestational size of 5 weeks 1 day at POA of 7 weeks & 1 day with faintly delineated
embryonic pole.
2. No retro-placemental pathology. Cervix : within sonographic limit

Dr. Suggested to continue medicine as prescribed before and perform one more TVS after 2 weeks.

TVS Report as on 16/02/2013:-
1. Single ,still embryo noted at changing lie.
2. Placenta (maturity :- grade - I ) is localized anteriorly/posteriorly at upper segment of uterus,well off the closed
iternal OS. No retro -placental collection noted.
3. Cervix looks healthy and endo-cervical canal appears collapsed. It measures 28mm X 21mm.
4. Amniotic fluid is adequate.
5. No Uterine SOL or anomaly is detected.
6. Andexa : No obvious mass lesion could be detected.
7. Obaries are appears normal.
8. Pouch of Douglas is clear.

Foetus :- (POA : 9 weeks 3 days, LMP: 12/12/2012)
Biometry :- Corresponds to an average gestatioal maturity of 7 wks & 3 days.
CRL = 12mm :: 7 weeks 3 days
GS = 24mm :: 6 weeks 4 days

No Cardiac pulsation noted.

Embryonic demise : Missed abortion.

Dr suggested to perform Surgical Evacuation as early as possible to avoid infection and it has been done today (18/02/2013)

Dr taken sample for HPE and POC for Chromosome Analysis. We will receive the reports after 3 days and i will share the same
after that.

I just want to have a secondary advise on this case...Is all treatment are ok or we can do something more to identify the
concurrent miscarriage. All her other reports are normal ( suger/HIV/bilirubin/hemoglobin/HBsAg/Thyroid/Hepatitis C Virus)
Till the time we are in dark and yet to know root cause of concurrent miscarriage.

#2 Snuffster

Posted 18 February 2013 - 07:03 PM

I would trust your doctor and/or obs/gyno.

I experienced 4 miscarriages in a just over 1 year period, with each pregnancy only having 1 month break inbetween them. It took until the 3rd miscarriage for my private Obs to order DH and I to have several tests to rule out chromosomal abnormalities and other factors. It turned out that I had a clotting disorder and was on asprin for the duration of my pregnancy.

With the amount of time in between the two miscarriages, it is doubtful that the doctor would be going into this amount of testing as yet.

I am so sorry for your losses. It is truly heartbreaking, and I hope that your doctor is able to help you fulfill your dream of a family.

Edited by Snuffster, 18 February 2013 - 08:53 PM.

#3 mandala

Posted 18 February 2013 - 07:24 PM

I am sorry for your experience of miscarriage.

I agree with Snuffster. I'm surprised that your doctor is willing to order a chromosomal analysis on the products of concept after only two losses, but it is the most appropriate next test. The other tests for recurrent miscarriage usually involve looking at clotting disorders.

Unfortunately, in most cases the cause of miscarriage is unknown. In my case, even with a history of problems associated with clotting and recurrent miscarriage, my miscarriage was deemed to most likely be bad luck.  Even if the cause had been put down to clotting problems, there are very few treatments, and those have their own side effects.

In cases of chromosomal problems, with the exception of IVF with PGD (only suitable for some chromosomal disorders), there is not much to be done either.

A pregnancy in 2008 followed by one in 2013 is a fairly signficant gap. I would ask my doctor in that situation about other fertility problems, unless of course you had other successful pregnancies in that time.

#4 Meet2013

Posted 18 February 2013 - 11:40 PM

Thanks Snuffster & KRT

1 user(s) are reading this topic

0 members, 1 guests, 0 anonymous users


Newborn baby found in a nativity scene

Police are trying to trace a woman who abandoned a baby boy in the manger of a church nativity scene.

Life would be harder without my kids

The Humans of New York Facebook page is well known for sharing touching, real stories from one of the world's biggest cities – and it's just hit the heart of parents everywhere.

Mum dresses as Wonder Woman for last day of chemo

A Brisbane mum dressed up as a superhero to celebrate the end of her chemotherapy and created a moment her family will remember forever.

How a raisin can predict a toddler's IQ

All you need to assess a child's future intelligence is a plastic cup and a raisin, according to new research.

Former Hi-5 member's cannabis hope

Former Hi-5 star Tim Harding hopes a cannabis-derived drug will help control his daughter's epilepsy, which sees the four-year-old suffering between 50 and 100 seizures a day.

The top 5 reasons your toddler throws a tantrum

Whilst to the outside world little people may appear to have it easy, it's actually not always the case – just ask any toddler who's had their toast cut up the wrong way.

Glenn McGrath thought he'd lost his wife and baby

Australian cricket ledged Glen McGrath has spoken about the moment he thought he might lose his wife, Sara and their baby daughter, Madison.


Inside my Centrelink nightmare

Mother Bec Smith has been trying for months to access Centrelink payments. A "serious error" is preventing her.

Warnings over push for hourly childcare billing

Australia's peak childcare body has called for caution around the Turnbull government's push for childcare centres to charge parents by the hour, not by the day.

Cate Blanchett thought about adopting for years

Cate Blanchett says her recent adoption of a baby girl had nothing to do with wanting a daughter after having three sons.

Kate Walsh: 'I can't have kids'

Grey's Anatomy star Kate Walsh has revealed she is unable to have children because she has experienced early menopause.

The parasite that could boost fertility

The Tsimane women of Bolivia are often revered as among the most fertile in the world - on average having 10 children in their lifetimes -- but some are even more fertile than others.

Family may sue cousin over genetics

A Melbourne couple is suing the Royal Children's Hospital for failing to diagnose a genetic disorder in their first child - an error they allege caused them to have another child with severe disabilities.

Strange things mums have done in labour

While most women in labour focus on the upcoming birth of their baby, some women do more interesting things.

Michael Clarke reveals baby's name

When Michael Clarke said he was wrapped around the finger of his little princess, he wasn't joking.

The logistics of breastfeeding twins

Our life is more or less divided into neat four hour parcels of time and it's hard to get much of anything done in the time between feeds.

How to stop people ruining Christmas

We can make a conscious effort about how we react to those curly Christmas day scenarios that can send us up the wall, or should we say chimney.

Lots of formula offers for desperate mum

The mum who was down to her last three tins of baby formula said she had received hundreds of calls and offers to send her formula.

Surviving breast cancer while pregnant

It was last thing Rebecca O'Donnell expected at 30 weeks' pregnant. One morning, while putting on her bra, she felt a pea-sized lump in her right breast.

Cot sheet brands for the nursery

With so many awesome cot sheet options these days, we thought we'd put together a list of go-to brands for you to seek out for your baby's bed.


What's hot on EB

How I survived breast cancer while pregnant

It was last thing Rebecca O'Donnell expected at 30 weeks' pregnant. One morning, while putting on her bra, she felt a pea-sized lump in her right breast.

Grieving father's letter to Bataclan terrorists: "...this little boy will threaten you by being happy and free"

A grieving father whose wife was killed in the attacks on the Bataclan Theatre last weekend has written an open letter to her killers.

5 challenges of motherhood - and how to see them differently

Despite the smiles, the sloppy kisses and the pure magic children bring to our lives, it's hard to deny that motherhood can be tough.

4 challenges of being a new dad - and how to face them

Becoming a parent is challenging – and that applies to both mums and dads.

My battle against antenatal and postnatal depression

I was five months pregnant when I realised I needed help.

Children swapped at birth will not be returned to biological parents

A boy and girl accidentally swapped on the day they were born will stay with the families who have raised them, a South African court has ruled.

A quarter of men believe they get 'man periods'

A British study has revealed one in four men believe they have a monthly cycle.

Baby deposit

How much do you need to save for a 'baby deposit'?

It's fairly straightforward to calculate a house deposit, but how much money do you need to save up for a baby?

Dad's beautiful note to his wife, a nurse

To anyone else it might just look like a picture of a mum having a nap with her toddler.

'I was a complete schmuck': Mike Baird opens up about his wife's postnatal depression

When his wife Kerryn was not well following the birth of their daughter, NSW Premier Mike Baird buried himself in his work.

Mum's desperate plea as whooping cough alert issued

A desperate mother has shared a heart-breaking video of her baby struggling to cope with a coughing fit caused by pertussis.

Coffee could help you live longer

New US research found people who report drinking three to five cups of coffee a day are less likely to die prematurely from heart disease, suicide, diabetes or Parkinson's disease.

The joy and dread of playdates

To live vicariously through your child is to rediscover anxieties you thought dead and buried.

Sick baby could die without scarce special formula, mum says

Lizzie Cann is down to her last three tins of a special formula in short supply.

Adorable toddler's strop foiled by squeaky shoes

We're probably all familiar with the pouty bottom lip and tightly crossed arms of a tot mid-strop.

More sex during World Cup created more baby boys

More sex during South Africa's World Cup meant a disproportionately high number of boys were born nine months later, a new study has found.

Win one of two ABC Shop prize packs in time for Christmas

What a boon it would be to have your toddler's Christmas gifts covered this year. We have two awesome ABC Shop prize packs to give away to two lucky winners.

Do fitness challenges really work?

Fitness challenges aren't new. There's Michelle Bridges 12WBT and a bunch of other programs if you really want to lose weight.

What are pregnant women Googling?

Pregnancy is a huge change for any woman, so it's natural we'll have questions - and turn to Google to ask them.



Can't decide?

Check out the Essential Baby Names section for some inspiration

Essential Baby and Essential Kids is the place to find parenting information and parenting support relating to conception, pregnancy, birth, babies, toddlers, kids, maternity, family budgeting, family travel, nutrition and wellbeing, family entertainment, kids entertainment, tips for the family home, child-friendly recipes and parenting. Try our pregnancy due date calculator to determine your due date, or our ovulation calculator to predict ovulation and your fertile period. Our pregnancy week by week guide shows your baby's stages of development. Access our very active mum's discussion groups in the Essential Baby forums or the Essential Kids forums to talk to mums about conception, pregnancy, birth, babies, toddlers, kids and parenting lifestyle. Essential Baby also offers a baby names database of more than 22,000 baby names, popular baby names, boys' names, girls' names and baby names advice in our baby names forum. Essential Kids features a range of free printable worksheets for kids from preschool years through to primary school years. For the latest baby clothes, maternity clothes, maternity accessories, toddler products, kids toys and kids clothing, breastfeeding and other parenting resources, check out Essential Baby and Essential Kids.